NPIMap

Organization Active NPI

St. Mary'S Home Care, Inc.

  • Home Health Agency
  • Rocky Mount, NC
National Provider Identifier
1629198536
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC2572 Issued in NC
Legal business name
ST. MARY'S HOME CARE, INC.
Practice address
1111 S Wesleyan Blvd
Rocky Mount, NC 27803-3114
Phone
(252) 446-6685
Fax
(252) 446-6695
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Sara Jane Rhodes
Title
Regional Coordinator
Phone
(252) 446-6685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC2572 NC Primary

Addresses

Primary practice location

1111 S Wesleyan Blvd
Rocky Mount, NC 27803-3114

Mailing address

1111 Wesylan Boulevard
Rocky Mount, NC 27804
Phone (252) 446-6685

Other identifiers 1

IdentifierTypeStateIssuer
6601144MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
St Mary'S Home Care Services Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1111 S Wesleyan Blvd
Rocky Mount, NC 27803
Phone (252) 446-6685

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629198536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 WESYLAN BOULEVARD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "27804",
            "telephone_number": "252-446-6685",
            "fax_number": "252-446-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S WESLEYAN BLVD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278033114",
            "telephone_number": "252-446-6685",
            "fax_number": "252-446-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "REGIONAL COORDINATOR",
        "authorized_official_telephone_number": "252-446-6685",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601144",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.